NEPHROLOGY NURSING AND PELVIC HEALTH INTEGRATION FOR THE PREVENTION OF RECURRENT URINARY TRACT INFECTIONS AND PRESERVATION OF RENAL FUNCTION: AN INTEGRATIVE REVIEW

Authors

DOI:

https://doi.org/10.36489/nursing.2026v32i341p22470-22493

Keywords:

Nephrology Nursing, Urinary Tract Infections, Chronic Kidney Disease, Pelvic Floor Dysfunction, Health Education.

Abstract

ABSTRACT 

Objective: To analyze scientific evidence on the integration of nephrology nursing and pelvic health in the prevention of recurrent urinary tract infections and the preservation of renal function. Method: An integrative literature review was conducted using the PubMed, SciELO, LILACS, CINAHL, and Virtual Health Library databases. Studies published between 2020 and 2025 addressing chronic kidney disease, recurrent urinary tract infections, pelvic health, and nephrology nursing were included. Results: Evidence showed that pelvic floor dysfunctions and voiding disorders contribute to recurrent urinary tract infections and may be associated with progressive renal function impairment. Multidisciplinary interventions, including health education, pelvic floor muscle training, clinical monitoring, and pelvic rehabilitation using electromyographic biofeedback, were associated with reduced infection recurrence, improvement of urinary symptoms, preservation of renal function, and enhanced quality of life. Integrated care protocols also demonstrated potential to reduce hospitalizations. Conclusion: The integration of nephrology nursing and pelvic health promotes better clinical outcomes and reinforces the importance of interdisciplinary, evidence-based care.

Keywords: Nephrology Nursing. Urinary Tract Infections. Chronic Kidney Disease. Pelvic Floor Dysfunction. Health Education. 

Author Biographies

Daniela de Cássia Cabral

Graduação em
Nutrição pelo Centro Universitário Ritter dos Reis – Uniritter. Pós graduação em
Estomaterapia na Enfermagem pela Faculdade Iguaçu. Pós Graduação em: Manejo
Nutricional no Paciente Bariátrico, Saúde Mental e Doenças Crônicas não
transmissíveis pela Instituição Educaminas. Tecnólogo de Gestão de Recursos
Humanos - Ftec Ibgen. Bacharelado Enfermagem – em andamento Membro da SBCBM
- Sociedade Brasileira de Cirurgia Bariátrica e Metabólica. Membro IFSO – The
International Federation for the Surgery of obesity and metabolic disorders

Ana Beatriz Silvino Santana do Nascimento, Bacharelado enfermagem - em andamento. Formada em Técnico de enfermagem

Bacharelado enfermagem - em andamento.
Formada em Técnico de enfermagem

References

REFERÊNCIAS

ABRAMS, P. et al. The standardisation of terminology of lower urinary tract function. Neurourology and Urodynamics, Hoboken, v. 41, n. 1, p. 1–32, 2022.

AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA (ANVISA). Medidas de prevenção de infecção relacionada à assistência à saúde. Brasília: ANVISA, 2022.

AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA (ANVISA). Nota técnica nº 04/2021 – Medidas de prevenção de infecções relacionadas à assistência à saúde. Brasília: ANVISA, 2021.

BO, K. et al. Pelvic floor muscle training for prevention and treatment of urinary incontinence. Neurourology and Urodynamics, v. 39, n. 1, p. 14–25, 2020.

BO, K. et al. Evidence-based physical therapy for the pelvic floor: bridging science and clinical practice. Neurourology and Urodynamics, v. 40, n. 1, p. 3–10, 2021.

BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Especializada e Temática. Diretrizes clínicas para o cuidado ao paciente com doença renal crônica (DRC) no Sistema Único de Saúde. Brasília, DF: Ministério da Saúde, 2014.

CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). Guideline for prevention of catheter-associated urinary tract infections. Atlanta: CDC, 2019.

CONSELHO FEDERAL DE ENFERMAGEM (COFEN). Resolução nº 358, de 15 de outubro de 2009. Dispõe sobre a Sistematização da Assistência de Enfermagem e a implementação do Processo de Enfermagem. Brasília: COFEN, 2009.

CONSELHO FEDERAL DE ENFERMAGEM (COFEN). Enfermagem e segurança do paciente: práticas baseadas em evidências. Brasília: COFEN, 2022.

CONSELHO FEDERAL DE ENFERMAGEM (COFEN). Resolução nº 564, de 6 de novembro de 2021. Atualiza normas relacionadas ao exercício profissional da enfermagem. Brasília: COFEN, 2021.

COYNE, K. S. et al. The impact of urinary urgency and frequency on health-related quality of life. BJU International, v. 125, n. 5, p. 760–768, 2020.

DUMOULIN, C. et al. Pelvic floor muscle training for women with urinary incontinence: a systematic review. Journal of Women’s Health, v. 27, n. 9, p. 1100–1113, 2018.

DUMOULIN, C. et al. Pelvic floor muscle training versus no treatment for urinary incontinence in women. Cochrane Database of Systematic Reviews, n. 5, CD005654, 2021.

DUMOULIN, C.; HAGEN, S.; STARK, D. Pelvic floor muscle training for urinary symptoms: evidence and clinical practice. Nature Reviews Urology, v. 19, n. 2, p. 85–100, 2022.

EUROPEAN ASSOCIATION OF UROLOGY (EAU). Guidelines on urological infections. Arnhem: EAU Guidelines Office, 2023.

FITZPATRICK, J. M. et al. Economic burden of urinary tract infections and cost-effectiveness of preventive strategies. PharmacoEconomics, v. 37, n. 5, p. 565–577, 2019.

FOXMAN, B. Urinary tract infection syndromes: occurrence, recurrence, bacteriology, risk factors, and disease burden. Infectious Disease Clinics of North America, v. 28, n. 1, p. 1–13, 2014.

GEERLINGS, S. E. Clinical presentations and epidemiology of urinary tract infections. Microbiology Spectrum, v. 10, n. 1, 2022.

GINSBERG, D. A. The epidemiology and pathophysiology of neurogenic bladder. American Journal of Managed Care, v. 19, n. 10 Suppl., p. s191–s196, 2013.

GROEN, J. et al. Summary of European Association of Urology (EAU) guidelines on neuro-urology. European Urology, v. 69, n. 2, p. 324–333, 2016.

HAYLEN, B. T. et al. An international urogynecological association (IUGA) and international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourology and Urodynamics, v. 29, n. 1, p. 4–20, 2010.

HOOTON, T. M. Recurrent urinary tract infection. Infectious Disease Clinics of North America, v. 35, n. 1, p. 135–152, 2021.

HOOTON, T. M. et al. Recurrent urinary tract infection in women. The New England Journal of Medicine, v. 387, n. 7, p. 640–651, 2022.

HUMPHREYS, B. D. Mechanisms of renal fibrosis. Annual Review of Physiology, v. 80, p. 309–326, 2018.

INTERNATIONAL CONTINENCE SOCIETY (ICS). ICS fact sheets: urinary tract infections and pelvic floor dysfunction. Bristol: International Continence Society, 2021.

KASAPIS, C. et al. Recurrent urinary tract infections and risk of renal impairment: clinical implications and management strategies. Journal of Clinical Medicine, v. 9, n. 11, p. 1–12, 2020.

KIDNEY DISEASE: IMPROVING GLOBAL OUTCOMES (KDIGO). Clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney International Supplements, v. 10, n. 4, p. 1–150, 2020.

LIU, Y. Cellular and molecular mechanisms of renal fibrosis. Nature Reviews Nephrology, v. 17, p. 51–64, 2021.

MOORE, K. N. et al. Incontinence-associated dermatitis in hospitalized patients: prevalence and outcomes. Journal of Wound, Ostomy and Continence Nursing, v. 40, n. 3, p. 259–266, 2013.

NICOLLE, L. E. et al. Urinary tract infections in adults. The Lancet, v. 393, n. 10171, p. 1741–1752, 2019.

SALO, J. et al. Childhood urinary tract infections as a cause of chronic kidney disease. Pediatrics, v. 142, n. 6, e20174301, 2018.

SHAIKH, N. et al. Recurrent urinary tract infections: risk factors and management. BMJ, v. 371, m522, 2020.

SILVA, J. R. et al. Educação em saúde na prevenção de infecções urinárias recorrentes: impacto na redução de internações. Revista Brasileira de Enfermagem, v. 73, n. 4, e20190345, 2020.

WORLD HEALTH ORGANIZATION (WHO). Integrated care for chronic kidney disease. Geneva: WHO, 2021.

WYNDAELE, J. J. et al. Neurologic urinary and faecal incontinence. The Lancet, v. 395, n. 10237, p. 1976–1988, 2020.

Published

2026-09-24

How to Cite

Daniela de Cássia Cabral, & Ana Beatriz Silvino Santana do Nascimento. (2026). NEPHROLOGY NURSING AND PELVIC HEALTH INTEGRATION FOR THE PREVENTION OF RECURRENT URINARY TRACT INFECTIONS AND PRESERVATION OF RENAL FUNCTION: AN INTEGRATIVE REVIEW . Nursing Edição Brasileira, 32(341), 22470–22493. https://doi.org/10.36489/nursing.2026v32i341p22470-22493

Issue

Section

Integrative Review

Categories